Der USMLE Step 3 testet Ihre Fähigkeiten, medizinisches Wissen anzuwenden und Ihr Wissen in Biomedizin und klinischer Forschung. Der Fokus der Fragen liegt auf dem Umgang mit Patienten in ambulanter Behandlung.
Anleitung:
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Question
A highly successful businessman is hospitalized to rule out a myocardial infarction. He is very demanding and has been having conflicts with the usually very kind staff in the coronary care unit. He calls the nurse manager and demands that she take appropriate measures against the nurse who failed to bring him ice in a timely fashion. After talking to the nurse manager, he threatens to leave against medical advice. Because he insists on leaving, you are called to try to talk to him. The most appropriate management is to
A. Attempt to arrange the transfer to psychiatric ward
B. Explain that the nurses are responsible for many patients and that he is not the only patient on the floor
C. Explain to the patient the need to compromise in such a setting
D. Interpret the patient’s threats as the need to avoid dependent position, pointing out that his actions may result in even greater dependency if he ends up very sick
E. Listen to the patient’s complaints and acknowledge the discomfort of a passive position that he is usually not accustomed to
